Evidence map›Paper›PMID 28938101›Full record

ArticleEnvironment international2017

Exposure to particulate matter air pollution and risk of multiple sclerosis in two large cohorts of US nurses.

N Palacios, K L Munger, K C Fitzgerald, J E Hart, T Chitnis, A Ascherio, F Laden

Open access · greenAbstract read
In one paragraph

Article in Environment international, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
3.8field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 57 citations in OpenAlex.

  1. Pooled it
  2. Characteristics of cohort studies of long-term exposure to PMEnvironmental science and pollution research international · 2019
    Pooled it
  3. Article
  4. Multiple Sclerosis: Pathogenesis Mechanism and Biomarkers.Central nervous system agents in medicinal chemistry · 2025
    Review
  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Review
  11. Review
  12. Air pollution and multiple sclerosis: a comprehensive review.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2021
    Review
  13. Review
  14. Article
  15. Article
  16. Review
  17. Identifying the culprits in neurological autoimmune diseases.Journal of translational autoimmunity · 2019
    Review
  18. Environmental and genetic risk factors for MS: an integrated review.Annals of clinical and translational neurology · 2019
    Review
  19. Urban air quality and associations with pediatric multiple sclerosis.Annals of clinical and translational neurology · 2018
    Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

N PalaciosDepartment of Public Health, College of Health Sciences, University of Massachusetts, Lowell, Lowell, MA, United States; Department of Nutrition, Harvard T. H. Chan School of Public Health, Boston, MA, United States; Channing Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, United States; Department of Neurology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, United States. Electronic address: natalia_palacios@uml.edu.
K L MungerDepartment of Nutrition, Harvard T. H. Chan School of Public Health, Boston, MA, United States. Electronic address: hpklg@channing.harvard.edu.
K C FitzgeraldDepartment of Neurology, John Hopkins Medical Institute, Baltimore, MD, United States. Electronic address: kfitzg13@jhmi.edu.
J E HartChanning Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, United States; Department of Environmental Health, Harvard T. H. Chan School of Public Health, Boston, MA, United States. Electronic address: jaime.hart@channing.harvard.edu.
T ChitnisDepartment of Neurology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, United States. Electronic address: tchitnis@rics.bwh.harvard.edu.
A AscherioDepartment of Nutrition, Harvard T. H. Chan School of Public Health, Boston, MA, United States; Channing Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, United States; Department of Epidemiology, Harvard T. H. Chan School of Public Health, Boston, MA, United States. Electronic address: aascheri@hsph.harvard.edu.
F LadenChanning Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, United States; Department of Environmental Health, Harvard T. H. Chan School of Public Health, Boston, MA, United States; Department of Epidemiology, Harvard T. H. Chan School of Public Health, Boston, MA, United States. Electronic address: francine.laden@channing.harvard.edu.
Harvard University · USBrigham and Women's Hospital · USUniversity of Massachusetts Lowell · US

Funding

Translational Research Support CoreP30ES000002 · NIEHS · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI JAIME ELIZABETH HART · 1985 to 2026
$44.6M
Life Course Cancer Epidemiology Cohort in WomenUM1CA176726 · NCI · HARVARD SCHOOL OF PUBLIC HEALTH · PI WILLETT, WALTER C. · 2013 to 2017
$15.7M
Cancer Epidemiology Cohort in Male Health ProfessionalsUM1CA167552 · NCI · HARVARD SCHOOL OF PUBLIC HEALTH · PI WILLETT, WALTER C. · 2012 to 2016
$11.5M
DIET, PHYSICAL ACTIVITY, AND THE RELATIONSHIP BETWEEN AIR POLLUTION AND CVDR01ES017017 · NIEHS · BRIGHAM AND WOMEN'S HOSPITAL · PI LADEN, FRANCINE · 2009 to 2012
$1.7M
Air pollution and Parkinson disease: a GIS-based approachK01ES019183 · NIEHS · HARVARD SCHOOL OF PUBLIC HEALTH · PI PALACIOS, NATALIA · 2010 to 2014
$595k
NIEHS NIH HHS K01 ES019183NIEHS NIH HHS P30 ES000002NIEHS NIH HHS R01 ES017017
6 · The paper itself

Abstract

backgroundAir pollution is thought to raise the risk of neurological disease by promoting neuroinflammation, oxidative stress, glial activation and cerebrovascular damage. Multiple Sclerosis is a common auto-immune disorder, primarily affecting young women. We conducted, to a large prospective study of particulate matter (PM) exposure and multiple sclerosis (MS) risk in two prospective cohorts of women: the Nurses Health Study (NHS) and the Nurses Health Study II (NHS II).

methodsCumulative average exposure to different size fractions of PM up to the onset of MS was estimated using spatio-temporal models. We used multivariable Cox proportional hazards models to estimate the hazard ratios (HR) and 95% confidence intervals (CI) of MS associated with each size fraction of PM independently. Participants were followed from 1998 through 2004 in NHS and from 1988 through 2007 for NHS II. We conducted additional sensitivity analyses stratified by smoking, region of the US, and age, as well as analyses restricted to women who did not move during the study. Analyses were adjusted for age, ancestry, smoking, body mass index at age 18, region, tract level population density, latitude at age 15, and UV index.

resultsWe did not observe significant associations between air pollution and MS risk in our cohorts. Among women in the NHS II, the HRs comparing the top vs. bottom quintiles of PM was 1.11 (95% Confidence Intervals (CI): 0.74, 1.66), 1.04 (95% CI: 0.73, 1.50) and 1.09 (95% CI: 0.73, 1.62) for PM

conclusionsIn this study, exposure to PM air pollution was not related to MS risk.

Indexed as

AdultAir PollutantsAir PollutionCohort StudiesEnvironmental ExposureFemaleHumansIncidenceMiddle AgedMultiple SclerosisNursesParticulate MatterProportional Hazards ModelsProspective StudiesRisk FactorsUnited StatesAir PollutantsParticulate MatterCohort studiesEpidemiologyIncidence studiesParkinson disease

Identifiers

PMID28938101
PMCPMC10082591
OpenAlexW2754323838

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.